INDICATIONS Serious infections for which no other antibiotic is effective CONTRAINDICATI ADVERSE ONS & CAUTIONS EFFECTS Contraindicated with allergy to ch loramphenicol CNS: headache, mild depression, mental confusion INTERACTIONS Increased serum levels and drug effects of warfarin with chloramphe nico l Decreased hematologic response in iron salts, vitamin B12 with chloramphe nico l NURSING CONSIDERATIO NS 1. Culture infection before beginning therapy. 2. Do not give this drug IM because it is ineffective. 3. Monitor hematologic data carefu lly, especially with long-term therapy by any route of administration. 4. Reduce dosage in patients with renal of hepatic disease. 5. Change to another antibiot ic as soon as possible. Use cautiously with renal failure, II. THERAPEUTIC Acute infections hepatic fail ure, GI: nausea, ACTIONS: caused by pregnancy, vomiting, Bacteriostatic Salmonel la lactation diarrhea effect against typhi susceptible OTHER: fever, bacteria; u rticaria prevents cell replication III. DOSAGE: 300 mg TIV q 6 hrs ANST (-) 6. Report sore throat, tiredness, unusual bleeding or bruising, pain in the extr emities and etc.